How to Navigate Strict Health Care Fraud Regulations

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Presented on:
October 9, 2019 2:00 PM PT
Duration:
1 hour
Location:
Online
Credits:
1
Contact:
Carly Miller, Moss Adams, 949-517-9434
Cost to attend:
Complimentary

Join us for an on-webcast reviewing three key health-care fraud regulations: the False Claims Act, Stark Law, and Anti-Kickback Statute. We address key topics, such as:

  • Best practices for maintaining compliance
  • Fair-market value risk areas affected by these regulations
  • Considerations to make when evaluating contracts and transactions
  • Potential consequences of inaccurate or insufficient documentation to support regulatory requirements
Register

Speakers

Lori Laubach, Partner, Moss Adams

Lori has practiced health-care consulting and public accounting since 1991. She has experience consulting for the private sector and not-for-profit organizations, including regulatory-compliance-program development and monitoring for integrated hospitals, multispecialty clinics, single-specialty clinics, mental-health centers, and community health centers; forensic reviews; operational and revenue benchmarking projects; revenue-cycle assessments; operational reviews; and risk assessments for physician groups and integrated systems.

Calvin Swartley, Director, Moss Adams

Calvin is a Managing Director in the Valuation & Litigation Services Group of Moss Adams. Mr. Swartley’s responsibilities are focused in the business valuation area. He has obtained the designations of Chartered Financial Analyst (CFA) from the CFA Institute and Accredited Senior Appraiser (ASA) from the American Society of Appraisers. Mr. Swartley analyzes and values physician groups, surgical groups, clinics, hospitals and other healthcare related entities and arrangements for a variety of purposes, including potential sale or merger, joint ventures, damages calculations, fair market value services arrangements, Buy/Sell agreement requirements, corporate and estate planning, shareholder disputes, and financial reporting purposes.

Lawrence W. Vernaglia, Partner, Foley & Lardner LLP

Lawrence Vernaglia is a partner and health care lawyer with Foley & Lardner LLP and serves as chair of the firm’s Industry Teams Department, including Health Care, Life Sciences, Technology and several others. Prior to that, he served as Chair of the Firm’s Health Care Practice and Health Care Industry Team—named Health Law Firm of the Year by US News and Best Lawyers® on the Best Law Firms list for three years of his tenure. Lawrence represents hospitals, health systems, academic medical centers, and a variety of other health-care providers. His practice involves regulatory and transactional matters, including Medicare and Medicaid reimbursement compliance advice and appeals; mergers, acquisitions, and financings; state regulatory issues, including licensing, change of ownership, and CoN/DoN; survey and certification appeals; fraud and abuse and Stark law analyses; managed-care contracting; and general corporate and business planning in health care. He runs strategic planning programs for senior management and governing boards

Registration Form

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CPE Information

Program Level:
Basic
Credits:
Specialized Knowledge and Application: 1
Delivery Method:
Webcast
Learning Objectives:

After completing this training, participants will be able to describe the False Claims Act, Stark Law, and Anti-Kickback Statute; evaluate the False Claims Act, Stark Law, and Anti-Kickback Statute for considerations that must be made when evaluating a contract or transaction; review best practices for maintaining compliance with fraud regulations; and explain how providing improper documentation and failing audit procedures can result in steep fines.

Prerequisites:
None
Target Audience:
Audit Committee Members; CEOs and other C-level Executives; Chairpersons; Controllers; Directors; Internal Accountants; Managers; Owners; Presidents/VPs; Treasurers
Refund Policy:

For more information about administrative policies regarding CPE, refunds or complaints, please contact Carly Miller at 949-517-9434 or send her an email.

Baker Tilly Advisory Group, LP fka Moss Adams LLP is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State Boards of Accountancy have the final authority on the acceptance of individual course for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org.

Applicable Industries

Ancillary Health Care Services Health Care Health Plans & RBOs Hospitals & Health Systems Long-Term Care Medical Groups & Physicians

Baker Tilly US, LLP, Baker Tilly Advisory Group, LP and Moss Adams LLP and their affiliated entities operate under an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable laws, regulations and professional standards. Baker Tilly Advisory Group, LP and its subsidiaries, and Baker Tilly US, LLP and its affiliated entities, trading as Baker Tilly, are members of the global network of Baker Tilly International Ltd., the members of which are separate and independent legal entities. Baker Tilly US, LLP and Moss Adams LLP are licensed CPA firms that provide assurance services to their clients. Baker Tilly Advisory Group, LP and its subsidiary entities provide tax and consulting services to their clients and are not licensed CPA firms. ISO certification services offered through Moss Adams Certifications LLC. Investment advisory offered through either Moss Adams Wealth Advisors LLC or Baker Tilly Wealth Management, LLC.